Publications by authors named "Miguel A Sanchez-Aleman"

Article Synopsis
  • * Young women (ages 18-24) had a higher HSV-2 seroprevalence (12.1%) compared to adolescents (4.3%), with frequent alcohol consumption also linked to a higher risk of infection.
  • * Although vaginal HSV-2 shedding peaked in the third trimester, the difference wasn't statistically significant; nonetheless, this increases the risk of neonatal herpes from vertical transmission during pregnancy.
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  • * Conducted in 2021-2022, the research involved 462 migrants who filled out questionnaires and underwent blood tests to detect these infections, revealing a 29.9% prevalence for HSV-2 and 4.5% for syphilis, particularly higher in men.
  • * The findings show that both infections are highly present among the migrant population, highlighting the need for targeted prevention and treatment efforts, especially considering their unique vulnerabilities related to sexual behavior.
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  • * Study findings identify various risk factors for syphilis among MSM, including low economic status, use of inhalant drugs, and specific sexual practices.
  • * There is a growing need for targeted prevention efforts in Mexico to address both syphilis and HIV among MSM, particularly considering the increasing prevalence observed in more recent years.
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Syphilis is a sexually transmitted disease that has become a public health problem, especially in vulnerable populations. A systematic review and time-free meta-analysis of the publications on the molecular detection of syphilis and mutations associated with antibiotic resistance, CORE group, and syphilis genotypes in PubMed databases, Scielo, and Cochrane was performed, and the last search was conducted in June 2022. Proportions were calculated, and standard errors and confidence intervals were reported for all results of interest.

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Much is known about the natural history of syphilis; however, less is known about the immune response against it, and even less is known about people living with HIV (PLWH). Due to the lack of an animal model to study host-pathogen interactions, it remains unclear how the host eliminates the bacteria. Here, we attempt to elucidate the immune response against infection by summarizing all the reported data in a systematic review.

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Article Synopsis
  • Syphilis is increasingly affecting vulnerable populations globally, and a study conducted from 2011 to 2015 at an HIV clinic in Mexico assessed its prevalence and incidence among various high-risk groups.
  • The study analyzed data from nearly 82,000 individuals, finding a seroprevalence of syphilis ranging from 8.2% to 37.0% in different groups, with the incidence being highest among people living with HIV (PLWH) at 16.0 cases per 100 person-years.
  • The research also identified risk factors like methamphetamine use, group sex, and online partner contact, indicating an urgent need for improved prevention and treatment strategies to combat syphilis's resurgence.
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  • A study was conducted in a Covid-19 hospital in Morelos, Mexico, to assess the prevalence of SARS-CoV-2 antibodies among healthcare workers (HCW) and identify factors linked to infection.
  • The findings revealed that 31% of participants had antibodies, while only 13.1% had tested positive via RT-PCR, with higher seroprevalence seen in social workers (35.7%) compared to laboratory personnel (12.0%).
  • The study emphasizes the value of serological testing for accurately assessing infection rates in healthcare settings where only symptomatic cases are typically documented.
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Background: Chagas disease is a globally important chronic systemic parasitic infection caused by Trypanosoma cruzi.

Aim: To determine the prevalence of antibodies against T cruzi in pregnant women from the state of Morelos, México.

Methods: 1,620 sera from pregnant women were analyzed using two serological tests: ELISAc (native crude antigen) and ELISAr (recombinant, non-native antigen).

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Background: Syphilis is a sexually transmitted infection that is re-emerging in different parts of the world. This infection can be transmitted during pregnancy, causing neonatal syphilis. The objective of this study was to examine trend in syphilis, congenital syphilis, and neonatal deaths among the Mexican population during 2010-2019.

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  • A study conducted in southern Mexico aimed to evaluate the presence of measles IgG antibodies in children from three ethnic groups, while also examining their nutritional status and demographic factors.* -
  • Of the 416 children studied, 59% were found to have measles antibodies, with higher positivity in girls and younger children, while families with more members showed lower antibody presence.* -
  • Findings indicate low immunity against measles, highlighting the need for improved vaccination efforts, particularly for vulnerable populations affected by age, sex, and malnutrition.*
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Introduction: Congenital syphilis continues to be a public health problem in Mexico.

Objective: To assess the similarities and differences between national standards, guidelines and international documents related to the detection of syphilis in pregnant women and congenital syphilis.

Method: Two algorithms were developed based on the standard of female care during pregnancy and on the standard for prevention and control of sexually transmitted infections.

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  • Researchers emphasized the importance of using recent infection testing algorithms (RITA) to better calculate HIV incidence in cross-sectional studies, which involve clinical variables and serological tests like ELISA.
  • The study tested the correlation between serum samples and dried blood spots (DBS) using two ELISA kits, finding strong correlations and determining that a combination of antiretroviral therapy (ART) and serological assays improved the accuracy of the RITAs.
  • The best-performing RITA, which included ART and serological tests, demonstrated high sensitivity and specificity, making DBS a valuable tool for epidemiological monitoring of HIV incidence.
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Introduction: Congenital syphilis continues to be a public health problem in Mexico.

Objective: To assess the similarities and differences between national standards, guidelines and international documents related to the detection of syphilis in pregnant women and congenital syphilis.

Method: Two algorithms were developed based on the standard of female care during pregnancy and on the standard for prevention and control of sexually transmitted infections.

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Objective: To analyse the most frequent self-reported adverse reactions (ARs), the durability and the causes of antiretrovirals (ARVs) regimens change, concomitant treatments and drug interactions related to the use of ARVs in a group of people living with HIV in Cuernavaca, Morelos, Mexico.

Materials And Methods: Cross-sectional study conducted in a clinic specialising in HIV 'CAPASITS-Cuernavaca' in Mexico from February to June 2015. People who wanted to participate were given a questionnaire on demographic characteristics, adherence, concomitant treatments and ARs.

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Background And Aims: Herpes simplex virus type 2 (HSV-2) is a sexually transmitted agent and is detected worldwide. HSV-2 is the main cause of genital ulcers and is diagnosed mainly with serological tests. The objective of current study was to evaluate the use of DBS samples to detect HSV-2 antibodies using commercial ELISA and Western blot tests.

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Article Synopsis
  • - The study aimed to estimate the prevalence of hepatitis B virus (HBV) among 10-25-year-olds in Mexico using data from the 2012 National Health and Nutrition Survey, analyzing 1,581 serum samples.
  • - The results showed a low prevalence of natural infection at 0.23%, with no cases of acute or chronic infection, while vaccination-derived immunity was found to be 44.7%, particularly lower in those aged 20-25 compared to 10-19.
  • - The findings suggest that vaccination policies implemented since 1999 have contributed to higher immunity levels in adolescents, highlighting the effectiveness of vaccination in reducing HBV prevalence.
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To describe hepatitis A virus (HAV) seroprevalence and associated factors in adolescents (10-19 years) and young adults (20-25 years) in different Mexican regions, using 2012 National Health and Nutrition Survey data. A random selection of 1581 serum samples was analyzed. Weighted HAV seroprevalence with 95% confidence intervals (95%CI) and its association with sociodemographic factors were estimated.

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Introduction: The third report of the National Cholesterol Education Program guidelines recommends calculating the 10-year morbidity of atherosclerotic cardiovascular disease (ASCVD) using risk calculators when treating high blood cholesterol in adults. We analyzed the changes in cardiovascular risk (CVR) among Mexican patients with HIV.

Patients And Methods: This observational, prospective cohort study compared the CVR after 1 year of antiretroviral treatment among 460 HIV patients from a Mexican clinic.

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Gastric cancer is one of the most aggressive malignancies affecting humankind. With almost a million cases globally, it sits in fifth position in terms of incidence, and third in terms of mortality. The progression of this disease is slow, with prolonged and sequential precancerous stages including chronic gastritis, intestinal metaplasia, dysplasia, and finally gastric cancer.

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Objective: To estimate the seroprevalence of CHKV antibodies and assess correlates of seropositivity at a small geographical scale.

Materials And Methods: A community-based serosurvey of 387 households in Puente de Ixtla, Morelos (central Mexico). Serum IgG antibodies to CHKV were detected by immunoassay.

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This study shows the relative quantification of HSV-2 by qPCR, using the MIQE Guidelines. The reaction efficiency was evaluated, and the relative quantification used the R = 2 method. The relative quantification of HSV-2 was conducted with anal and genital samples from men who have sex with men (MSM), living with HIV.

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HPV is the sexually transmitted agent most common among young people, like college students. The aim of study was to associate sexual behavior characteristics of women with HPV, detected in genital samples taken before the introduction of the HPV vaccine. Female students during 2001-2005 donated genital samples and the samples were re-analyzed in 2013 for HPV genotyping by RT-PCR.

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Background: Herpes simplex virus type 2 (HSV-2) seroprevalence and associated infection risk factors show differences by regions and countries. The aims of the study were to determine the HSV-2 seroprevalence and to evaluate the risk factors for HSV-2 in a national representative survey among adolescents and adults in Mexico.

Methods: A cross-sectional study was carried out in Mexico on the basis of the National Health and Nutrition Survey 2012, a national representative survey.

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Objective: Introduction of pneumococcal conjugate vaccines (PCV) targeted against a limited number of serotypes substantially decreased invasive (IPD) and non-invasive pneumococcal diseases (NIPD) but it was accompanied by non-vaccine type replacement disease. After 9 years of introduction of PCV in Mexico, we analyze the evidence of the indirect effects on IPD and NIPD serotype distribution among groups not targeted to receive the vaccine.

Methods: From January 2000 to December 2014, pneumococcal strains isolated from IPD and NIPD cases from patients ≥5 years of age from participant hospitals of the SIREVA II (Sistema Regional de Vacunas) network were serotyped.

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